Individual provider · Type 1 NPI
Ganielle Marva Peterson, ASSISTED LIVING ADMN
Nursing Home Administrator · Port St. Lucie, FL
NPI number
1285241489
Active
Practice location
2773 SE Clareton Ter
Port St. Lucie, FL 34952-6621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | None listed |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
Other nursing home administrator providers in Port St. Lucie
About NPI 1285241489
Ganielle Marva Peterson, ASSISTED LIVING ADMN's National Provider Identifier is 1285241489, issued on Sep 30, 2020. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Sep 30, 2020.